Provider Demographics
NPI:1164661559
Name:SCHAUB, JANETTE M (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:M
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 METRO BLVD
Mailing Address - Street 2:SUITE 417
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2316
Mailing Address - Country:US
Mailing Address - Phone:952-832-9094
Mailing Address - Fax:952-820-8019
Practice Address - Street 1:7400 METRO BLVD
Practice Address - Street 2:SUITE 417
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2316
Practice Address - Country:US
Practice Address - Phone:952-832-9094
Practice Address - Fax:952-820-8019
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1421103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist